Altered Conciousness

Question 1

Respond only to repeated vigorous stimulus

Answer 1

Stupor

Question 2

Unarousable and unresponsive

Answer 2

Coma

Question 3

• State of complete unawareness. Pt may open eyes spontaneously or to stimuli, but without recognition to environment.
• Appears awake, but lie motionless and without evidence of awareness or high mental activity.

Answer 3

Persistent Vegetative State

Question 4

• Mute, quadriplegic state d/t destructive lesions of venous pons, but spares tegmentum
• Perserved blinking and voluntary eye mov’t in vertical plane. Pupils respond to light. Sensory intact.

Answer 4

Locked-In Syndrome (de-efferented state)

Question 5

Condition of severely ALOC

-Pt exhibits inconsitent evidence of consciousness. May be permanent or transient.

Answer 5

Minimally conscious state

Question 6

-State of impaired attention, memory and logical thinking with incoherent conversation and easy distractibility.
Rapid onset, fluctuating mental status. Marked decrease in short term memory

Answer 6

Delirium (acute confusional state)